A frequently under-managed service area, home health care and it's associated costs are expected to increase due to earlier dispositions from acute and post-acute care facilities. That combination can be dangerous for your home health care budget.
One challenge is finding criteria to apply to these requests as many organizations have not developed their own guidelines. Another challenge is knowing how to interpret the documentation for the different home service lines available in the context of the patient's disease process and skilled needs. Medicare Advantage plans also have to wade through home health regulations set by Medicare. You must have utilization reviewers that understand all these aspects of managing home health services if you want to reduce unnecessary home visits.
The Cadenza Heath team has been heavily involved in making home health determinations across all service lines. We have been on the frontline for years identifying inappropriate and excessive use of these skilled services. Our team has worked in markets across the country to help companies reduce their home health costs while approving this often beneficial care when appropriate. Let us bring our insight to your team.